We evaluated retrograde penile venoablation as treatment modality in impotent patients suffering from a venous leakage. Forty-six of 53 (86%) interventions were technically feasible. Improvement in erectile function was obtained by 24/46 (52%) procedures: in 20 men spontaneous intercourse was possible, four men needed additional intracavernous injection of vasoactive drugs. In 11 patients, potency deteriorated between one and 20 months after the venoablation; in seven, potency could be improved by repeated embolization. Potency of 13 patients is unchanged one to 30 months (average 10.5 months) after the intervention. Complications were not observed.
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